Montreal Gazette

Drug companies bombarding U.S. consumers with ads

- JASON MILLMAN

WASHINGTON The soft, cheesy music. Happy, smiling middle-aged couples playing sports almost effortless­ly. The docile tones of a narrator ticking off a mind-numbing list of side effects ranging from mundane to terrifying.

Maybe you’ve noticed that prescripti­on drug ads are everywhere these days — more so than usual. You wouldn’t be wrong.

It was just a few years ago that TV advertisem­ents of prescripti­on drugs had dropped off by 20 per cent, as drugmakers were also cutting back on other types of direct-to-consumer advertisin­g. Those days are over, though, according to figures provided by Kantar Media, a market research firm.

Drugmakers in 2014 spent $4.5 billion marketing prescripti­on drugs, up from $3.5 billion in 2012. That’s also up from the $2.5 billion drugmakers spent in 2000, or $ 3.39 billion in 2015 dollars when adjusted for inflation.

How about which drugs are being advertised the most to consumers? In 2014, two widely recognized erectile dysfunctio­n drugs that have been on the market for more than a decade — Pfizer’s Viagra and Eli Lilly’s Cialis — ranked among the top five, according to Kantar. Pfizer’s advertisin­g budget for its “little blue pill” has more than doubled in the past five years to $232 million, and the company notably started marketing directly to women in a new ad campaign that drops the long-running innuendo associated with its groundbrea­king product.

Other highly advertised drugs included Humira, a rheumatoid arthritis treatment; Lyrica, a treatment for pain caused by nerve damage; and Eliquis, an anti-clotting drug approved in December 2012.

Still, spending on direct-to-consumer ads is just a fraction of what the pharmaceut­ical industry spends marketing directly to health-care providers to prescribe

their products. For instance, when drugmakers’ direct-to-consumer marketing dropped to $3.5 billion US in 2012, the firms spent $24 billion promoting their wares directly to doctors. That method of advertisin­g is finally starting to become more transparen­t, thanks to new federal requiremen­ts.

The United States is one just a few countries that allows drug companies to advertise directly to patients, and the practice really escalated in 1997 after the U.S. Food and Drug Administra­tion relaxed

federal rules. In some ways, it’s not surprising that advertisin­g is back on the upswing. The economic recovery is here, millions more have obtained health insurance, and 2012 and 2014 saw high rates of new drug approvals from the FDA.

TV is also playing a greater role in how drug marketers make their pitches directly to patients. In 2011, television accounted for 52.6 per cent of pharma’s direct-to-consumer advertisin­g dollars — in 2014, it was 61.6 per cent. And last month, Super Bowl viewers saw an ad for a

new toe-fungus prescripti­on medication that featured a cartoon toe indeed defeating toe fungus on the football field.

So that means, at least in the meantime, we’ll be bombarded with more images of cartoon toes playing football and couples inexplicab­ly sitting in separate bathtubs on the beach, complement­ed by disturbing­ly long lists of side effects.

And, as the drugmakers themselves might warn for one of their products, endless exposure to these commercial­s may cause irritation.

 ?? PFIZER INC./THE ASSOCIATED PRESS FILES ?? Pfizer Inc.’s Viagra, the world’s top-selling erectile dysfunctio­n drug, features an ad campaign that will nudge women to broach the subject with their mates.
PFIZER INC./THE ASSOCIATED PRESS FILES Pfizer Inc.’s Viagra, the world’s top-selling erectile dysfunctio­n drug, features an ad campaign that will nudge women to broach the subject with their mates.

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